Treatment of patients with aortic disease during pregnancy and after delivery
| Autor: | Li-Zhong Sun, Wen-Jian Jiang, Xinliang Guan, Yuyong Liu, Hai-Yang Li, Hong-Jia Zhang, Ou Liu, Xiaolong Wang, Jun-Ming Zhu |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Postnatal Care medicine.medical_specialty Pregnant patient 030204 cardiovascular system & hematology Biochemistry Aortic disease Clinical Reports Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Medicine Retrospective Studies 030219 obstetrics & reproductive medicine treatment business.industry Obstetrics Biochemistry (medical) Pregnancy Outcome Retrospective cohort study Cell Biology General Medicine aortic disease medicine.disease Aortic Aneurysm Aortic Dissection Treatment Outcome Female delivery business |
| Zdroj: | The Journal of International Medical Research |
| ISSN: | 1473-2300 0300-0605 |
| Popis: | Objective This study aimed to review treatment of patients with aortic disease during pregnancy and after delivery in Beijing Anzhen Hospital. Methods A retrospective study was conducted using data from 12 patients with aortic disease during pregnancy and after delivery in our institution from May 2005 to December 2014. Patients were provided different treatments based on the type of aortic disease and clinical characteristics. Results The mean age was 29.83 ± 4.17 years, mean height was 171.7 ± 8.22 cm, mean weight was 68.55 ± 10.62 kg, and mean body mass index was 23.18 ± 2.93 kg/m2. Two patients with Stanford type A aortic dissection died of renal failure after surgery. All of the other patients were discharged. Six foetuses survived. One patient continued her pregnancy after an aortic operation. The gestational age of the remaining five patients was less than 28 weeks at the time of the operation and all foetuses of these five patients died. Conclusions A suitable treatment strategy for aortic disease during pregnancy and after delivery should be chosen based on an individual’s comprehensive clinical condition. Foetal management should be chosen based on gestational age and severity of aortic disease. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|